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01-12-2023 | Trigeminal Neuralgia | Research

Long-term pain outcomes in trigeminal neuralgia patients with concomitant continuous pain: a comparison of first-time microvascular decompression and percutaneous balloon compression

Authors: Shuo Li, Guo Cheng, Yiwei Wu, Chenlong Liao, Wenchuan Zhang

Published in: Neurosurgical Review | Issue 1/2023

Excerpt

Trigeminal neuralgia (TN), characterised by paroxysmal and electric shock-like facial pain in the distribution of the trigeminal nerve [1], also presents with concomitant continuous pain (CCP) between attacks in a significant proportion of patients (20–60%) [2‐4]. Lancinating facial symptoms compromise the quality of life of patients and can even induce anxiety and depression [5]. Fortunately, a deeper understanding of the aetiology of TN and its relevant treatments helps to ensure that pain relief can be achieved in most TN patients. CCP refers to continuous or long-lasting, dull, and throbbing pain with a distribution that is consistent with that of episodic pain, thus posing significant challenges in determining the aetiology, optimal diagnosis, and effective treatment of TN [6]. The mechanisms of CCP remain unclear, and it is difficult to differentiate CCP from other types of chronic facial pain [7]. In addition, several investigations have suggested that patients with CCP tend to respond poorly to medications and surgical interventions [8, 9]. …

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Title: Long-term pain outcomes in trigeminal neuralgia patients with concomitant continuous pain: a comparison of first-time microvascular decompression and percutaneous balloon compression
Authors: Shuo Li
Guo Cheng
Yiwei Wu
Chenlong Liao
Wenchuan Zhang
Publication date: 01-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Trigeminal Neuralgia
Oxcarbazepine
Published in: Neurosurgical Review / Issue 1/2023
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-023-02089-y

Keynote webinar | Spotlight on medication adherence

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Long-term pain outcomes in trigeminal neuralgia patients with concomitant continuous pain: a comparison of first-time microvascular decompression and percutaneous balloon compression

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Keynote webinar | Spotlight on medication adherence

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